| NPI | 1134139637 |
|---|---|
| Doing Business As | MAIN STREET COMMUNITY MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE J RYAN Office Coordinator 410-526-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-02-28 |