| NPI | 1912715467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ARCHIE Dir Of Program Development 443-438-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |