| NPI | 1265104046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA M SWANSON Owner/Provider 410-420-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-12-14 |