| NPI | 1992058549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J PIZZICA Clinical Assessor 410-962-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 13794) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |