| NPI | 1952014433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JOHN ROSE Chief Operating Officer 443-909-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |