| NPI | 1841786704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGAN ARRAMRAJU Director 410-949-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 906726) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2019-04-17 |