| NPI | 1578743399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE LINTHICUM REGAN Prersident 410-747-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD D0018610) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |