| NPI | 1982935227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANRELE OLADIPO FADIORA Account Executive 443-865-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2020-11-20 |