| NPI | 1396213088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIU AMANI EUBANKS SMITH PH Owner 443-453-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |