| NPI | 1265041008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMILOLUWA EGBEWUMI CEO 443-929-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |