| NPI | 1841558640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULE I SALAKO Administrator 410-578-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 404331600) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |