| NPI | 1629420583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE KESSLER Director Of Billing 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH-2042) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2019-01-02 |