NPI | 1477822500 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD SAWYER Director Of Contracts Management 443-904-0145 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 22176) |
Enumeration Date | 2011-12-19 |
Last Update Date | 2011-12-20 |