| NPI | 1871812909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RICHARDSON Executive Director 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 4645) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |