| NPI | 1528437779 |
|---|---|
| Other Name | MENTAL HEALTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LANISE MOHN Director Of Nursing 410-228-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |