| NPI | 1225716681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L FRIERSON COO 410-262-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |