| NPI | 1821548868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN CASTANG CEO/Program Director 410-929-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 2098) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |