NPI | 1891007738 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA EVETTE BYRD CEO/Licensed Professional Counselor 443-559-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD LC30506) |
Additional Taxonomies | 251B00000X Case Management (Licence: MD LC3506) |
251S00000X (Licence: MD LC3506) | |
252Y00000X Early Intervention Provider Agency (Licence: MD LC3506) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2016-10-28 |