| NPI | 1053501825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA AYETIGBO Executive Director 410-244-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 2830) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |