| NPI | 1427986181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY VAUGHAN Owner 410-382-4536 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |