| NPI | 1093170862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEATRIA TYSON Executive Director 410-534-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |