| NPI | 1588374565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMIDAYO A OGUNDIRAN CEO 443-558-6938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-10-26 |