NPI | 1952834004 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY NICOLE ROCK Program Director 410-340-8824 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2293) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2022-10-12 |