| NPI | 1932627239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA MARIA JOHNSON CEO 443-405-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MD2133) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-18 |