| NPI | 1457946642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON MBOCHE CEO 443-629-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-12-14 |