| NPI | 1629740584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIGOZIEM EKWONYE CEO 443-562-6538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |