| NPI | 1932698438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN COOKE CEO 410-219-5070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD BH000550) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2024-07-26 |