NPI | 1033657374 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE KIHIKO Executive Director 443-370-5372 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD MH2225) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD MH2225) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |