| NPI | 1194347039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TARRIS OWENS Chief Compliance Officer 410-955-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |