| 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 |