| NPI | 1790156362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE HYMEL Managing Member 410-780-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-1669) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2019-04-30 |