NPI | 1477333615 |
---|---|
Other Name | SELF EMPLOYED |
Entity Type | Organization |
Authorized Contact | DONNELL WRIGHT CEO 443-983-4520 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-04 |
Last Update Date | 2023-10-04 |