| NPI | 1447628490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD RIAZ AHMAD Owner 410-788-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MD AC-0313) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |