NPI | 1114620911 |
---|---|
Entity Type | Organization |
Authorized Contact | VALENTINE OFUOKWU Executive Director 443-695-8146 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-03-22 |
Last Update Date | 2024-01-31 |