| NPI | 1205505971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA NICOLE TOWNSEND CEO 410-622-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |