| NPI | 1386340495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINYERE UBAH Credentialing Specialist 410-213-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-06-02 |