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 |