| NPI | 1225604994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANRELE FADIORA CFO 443-663-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |