| NPI | 1376305870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFTAAN WHITE Executive Director 410-231-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-07-29 |