| NPI | 1205537073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RICE Owner 410-487-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |