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 Community/Behavioral Health |
261Q00000X | |
261QH0100X Clinic/Center, Health Services | |
261QM0801X | |
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 |