NPI | 1255096103 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN HERRON Vice President 410-227-9426 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-11-05 |
Last Update Date | 2021-11-05 |