| NPI | 1538022181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA YOUNG Office Manager 410-742-6016 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-18 |