| NPI | 1548909120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSE OKOJIE Owner 410-522-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2025-01-14 |