NPI | 1245874338 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFINIE CARROLL Executive Director 410-363-3713 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2022-06-13 |