| NPI | 1134977283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR RISHAWN MARQUIS YORK Medical Director 443-249-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-06-20 |