| NPI | 1386229276 |
|---|---|
| Doing Business As | MDM, LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA MARSHALL Owner 443-904-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |