| NPI | 1225905433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BEASLEY Managing Member 443-675-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |