| NPI | 1275054793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON T DAVIS Owner 410-413-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-01-20 |