| NPI | 1417660606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MCMULLEN President 443-972-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-01-31 |