| NPI | 1124798178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE NALTY CEO 410-779-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-05-05 |