| NPI | 1871903948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANRELE FADIORA Cheif Officer 410-865-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 14545) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |