| NPI | 1023470440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ENGWALL Director Of Operations 410-837-4292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH-1870) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |