| NPI | 1528476157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFFI BILEK Director 443-598-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 19558) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2020-11-30 |