| NPI | 1568912178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEE BURROUGHS CEO 410-779-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH2242) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2025-02-07 |