NPI | 1134790975 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB ANUM President 410-337-3697 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2021-07-02 |