| NPI | 1497532220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SHEARS COATES Owner 410-689-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2025-05-21 |