| NPI | 1073243960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN NDUNGU Owner 443-356-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |