| NPI | 1063914406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MEYERS-LIBBY Owner 443-223-1542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 04557) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |