| NPI | 1326734518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL N HARP-WITHERSPOON Owner 410-776-8639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-02-20 |