| NPI | 1215795984 |
|---|---|
| Former Legal Business Name | OUTPATIENT MENTAL HEALTH CLINIC (OMHC) |
| Entity Type | Organization |
| Authorized Contact | TRINA JOHNSON CEO 443-652-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-05-10 |