| NPI | 1548754575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MCCOY Clinical Director 410-766-6624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD BH000807) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-02-03 |