NPI | 1629769088 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON T DAVIS Owner 410-413-4108 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-05-17 |
Last Update Date | 2025-10-09 |