| NPI | 1164036299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE NGWA Administration 443-525-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2022-06-05 |