| NPI | 1023698362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET T T OWOLABI Director 443-825-2955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-12-30 |