| NPI | 1417548835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANRELE FADIORA CFO 443-865-7549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-06-16 |