| NPI | 1528857083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI WILKINSON Chief Executive Officer 443-742-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |