| NPI | 1609644129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIJANA JIRECEK Director, Clinician 410-499-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |