NPI | 1518631779 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH HEGGINS Owner 410-926-7505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-08-02 |
Last Update Date | 2021-08-02 |