| NPI | 1609703024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYNISHA KADARI Owner 443-466-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |