| NPI | 1053813535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKIS JOHNSON CEO 443-449-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: BH000313) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-01-03 |