| NPI | 1902509862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL THOMAS SACHARIAH Chief Operating Officer 410-770-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-09-08 |