| NPI | 1245023845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TANYI TANG AYUK CFO 443-221-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |