| NPI | 1346908142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA CONAWAY CEO 410-961-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-12-02 |