| NPI | 1417476607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M MATSKO Owner 443-717-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-10-23 |