NPI | 1124471651 |
---|---|
Doing Business As | BEHAVIORAL HEALTH CLINIC (BHC) |
Entity Type | Organization |
Authorized Contact | NAG NELLURI Member 443-995-4113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD MH-1846) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |