| NPI | 1477064251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GRANT Program Director 443-435-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD MH-2341) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-07-18 |