| NPI | 1184291155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA A BALTIMORE Owner/Therapist/Prp Director/Rehab 443-202-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 251S00000X | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-06-15 |