NPI | 1114566973 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL BELISE GREEN RANDLE Mental Health Professional 443-415-5075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-12-27 |
Last Update Date | 2019-12-27 |