| NPI | 1558097402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BUTLER Owner 410-702-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-04-06 |