NPI | 1174143853 |
---|---|
Other Name | CCS TOWSON - MEDICAID (FACILITY) |
Entity Type | Organization |
Authorized Contact | MARK DAVID DONOVAN CEO 410-740-8066 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2021-10-28 |