| NPI | 1528927290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE PETERSON Executive Director 410-218-3525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-19 |
| Last Update Date | 2026-03-26 |