| NPI | 1174160980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALEE GEORGE Chairman 443-453-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2020-11-13 |