| NPI | 1063289874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE DANIELLE BOYKIN CEO 443-677-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-02-20 |