| NPI | 1396271748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH I. ACRA Owner 410-707-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 81453) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-08 |