| NPI | 1295371268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDIN GORDON Therapist 443-475-0338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-03-03 |