| NPI | 1225882483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ASAH NKWETTA CEO/Executive Director 443-519-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |