| NPI | 1093869679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE B. KATZ VP Corporate Business Development 410-938-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MD 43) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-01-16 |