NPI | 1215433784 |
---|---|
Entity Type | Organization |
Authorized Contact | LATASHA WILSON Director 443-353-0306 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |