| NPI | 1104493337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANNA MONIQUE MILLER-JOHNSON Owner 443-415-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-10-31 |