| NPI | 1366192684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DANIELS Nurse Practitioner 410-322-5739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-05-03 |