| NPI | 1417521444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD WORTHINGTON Director Of Ops 443-694-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-08-05 |