| NPI | 1891188439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNNA THOMAS CEO 443-402-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-1043) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2019-08-12 |