| NPI | 1972977031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE LOUIS FIELDING Co Owner/Program Director 443-957-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |