| 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 |