| NPI | 1285277343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUANNA FOSTER-DOTSON CEO 410-258-6714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-08-12 |