| NPI | 1801580568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN NDOMBI TANTOH CEO/Medical Director 443-466-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-09-28 |