| NPI | 1518708700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBENGA WILLIAMS Administrator 410-521-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TR0400X Psychologist Rehabilitation |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-08-13 |