NPI | 1245629005 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA RENEE DUKES CEO 443-831-0191 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-01-16 |
Last Update Date | 2015-01-16 |