| NPI | 1861867178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIKA BURKE Chief Operations Officer 443-977-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 1765) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2023-07-12 |