NPI | 1174230882 |
---|---|
Doing Business As | LACY ALLEN |
Entity Type | Organization |
Authorized Contact | LACY DENISE ALLEN CEO 443-707-8319 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-11-02 |
Last Update Date | 2022-11-02 |