| NPI | 1073345526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED ADETOLA Owner 410-900-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-30 |