| NPI | 1194486407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WESTBROOK Owner 410-963-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-09-29 |