| NPI | 1609743384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY M HARRISON Sole Member / Authorized Official 410-733-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |