| NPI | 1124490784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE KESSLER Director, Revenue Services 410-382-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2025-08-08 |