| NPI | 1508566019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRON EDWARDS CEO 410-616-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-04-06 |