| NPI | 1134827389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURETTE ABUNAW Provider 443-991-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2025-10-07 |