| NPI | 1396381356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY PATRICE COLEMAN Office Manager 410-225-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2021-01-27 |