NPI | 1104330893 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY KAY BLACKWELL Executive Director 410-244-1465 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-11-17 |
Last Update Date | 2017-11-17 |