| NPI | 1194355362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED EZEKWESILI Administrator 410-298-3431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-05-23 |