| NPI | 1184503823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FINAZZO Owner 443-904-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2026-07-14 |