| NPI | 1588249437 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | QWAN NEEDUM CEO 410-262-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |