| NPI | 1386211456 |
|---|---|
| Former Legal Business Name | FAMILY VISIONS OUTPATIENT MENTAL HEALTH CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | TANIA MARIE WILSON CEO 443-865-5549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-10-21 |