| NPI | 1851762900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA E. TRANEN Executive Director 410-863-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 4851) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |