| NPI | 1821487158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRANJAN N JANI Chief Administrator 443-944-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD D0037205) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2020-10-19 |