| NPI | 1285941476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MORAN MORREL Sole Proprietor 410-832-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 03705) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |