| NPI | 1477208247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WHITE Provider 410-801-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2023-07-20 |