| NPI | 1417575309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINTTE EDWARDS Director 443-934-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |