| NPI | 1811675622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL JOHNSON Owner/Executive Director 443-271-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |