| 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 Community/Behavioral Health (Licence: MD LC3506) | |
| 252Y00000X Early Intervention Provider Agency (Licence: MD LC3506) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-10-28 |