| NPI | 1912274150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE JAMES-MEDINA Administrator 410-383-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 15793) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |