| NPI | 1396860284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMSON OMOTOSHO Program Director 443-858-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD D07661762) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-19 |