| NPI | 1376426007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINE EFUENGHOW CEO 443-531-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |