| NPI | 1083336580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEE JONES Credentialing Director 410-824-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |