| NPI | 1982001939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN PIXTON CEO 410-686-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 1502) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2022-06-29 |