NPI | 1104434158 |
---|---|
Doing Business As | BEACON OF HOPE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MERCY JOHNSON Clinical Social Worker 410-685-2830 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-07-15 |
Last Update Date | 2021-08-16 |