NPI | 1316557051 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN RECK Manager 410-220-0780 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2022-05-11 |