| NPI | 1356798979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY K BURKHARD Esps Billing Supervisor & Credentia 410-334-6961 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-09-20 |