| NPI | 1508589128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP OKOJIE Owner 443-759-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-08-23 |