| NPI | 1821597279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA IKOTUN Program Director 443-682-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 2459) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2025-02-06 |