| NPI | 1346747631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRECIA WILLIAMS Executive Director 443-653-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-06-20 |