| NPI | 1912333931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY H CUTLER Director 443-521-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 905039) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |