| NPI | 1235760257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE N REID Owner 410-864-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2021-09-29 |