| NPI | 1154328698 |
|---|---|
| Doing Business As | MSA THE CHILD & ADOLESCENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTIN SLUTSKY President 443-259-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MD 2384) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 2384) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |