| NPI | 1588302285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN I IHEOMA CEO 443-857-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 273R00000X Psychiatric Unit | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2024-02-22 |