| NPI | 1952845539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENARDO FOSTER Owner 410-246-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |