| NPI | 1194336206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ANN SHEPPARD CEO 410-935-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-05-07 |