NPI | 1316206295 |
---|---|
Doing Business As | VILLA MARIA BEHAVIROAL HEALTH AT MILLER'S COURT OMHC |
Entity Type | Organization |
Authorized Contact | ROBERT CANOSA Director 410-252-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-05-11 |
Last Update Date | 2012-09-10 |