| NPI | 1801169008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA L SMITH Director 410-948-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 04987) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |