| NPI | 1447231592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATAVIA LITTLE Executive Director 410-366-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 10120) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2012-02-15 |