| NPI | 1154511236 |
|---|---|
| Doing Business As | MAIN STREET COMMUNITY MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PAMALA RYAN Executive Director 410-654-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2019-02-28 |