| NPI | 1174143853 |
|---|---|
| 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 |