| NPI | 1912308040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY JOHNSON Owner/Director 410-685-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 15763) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-07-10 |