NPI | 1154310225 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY SCHULDEN Executive Director 410-752-5525 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2005-10-20 |
Last Update Date | 2011-10-28 |