| NPI | 1083312003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEE HOOPER Compliance & Quality Assurance Offi 443-244-8659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |