| NPI | 1063301471 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NICKIA WILLIAMS CEO 443-286-9535  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health | 
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-07-01 | 
| Last Update Date | 2025-07-01 |