| NPI | 1144708025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN CONNOLLY-IGOE Owner 410-507-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 10828) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |