| NPI | 1013631712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA H ALLIBALOGUN President 410-559-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |