| NPI | 1205791522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA V. GIVENS Executive Director 410-441-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X Community/Behavioral Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |