| NPI | 1962764324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BENNETT-SELBY CEO 443-928-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 09184) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-07-03 |