| NPI | 1073255170 |
|---|---|
| Other Name | MOLOCK CARES |
| Entity Type | Organization |
| Authorized Contact | LISA MOLOCK Executive Director 443-986-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2022-05-17 |