| NPI | 1831330562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNY SAMUELS President 410-804-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 11254) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |