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