| NPI | 1871042101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA F FENWICK Manager, Supported Employment 410-843-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-67) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |