| NPI | 1326627498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MOSES President 410-292-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-08-12 |