| NPI | 1790345270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK OLUMIDE KUMOLALO CEO/Program Administrator 443-631-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |