| NPI | 1427510502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORTHWEST REGISTERED AGENT SERVICES Registered Agent 443-416-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-06-24 |