| NPI | 1447967849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH COLLINS CEO 410-690-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-12-16 |