| NPI | 1235930389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RODRIGUEZ CEO 410-377-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |