| NPI | 1215502810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOPELOLA OWOYEMI COO 410-744-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |