| NPI | 1639008766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A BERNARD Owner 443-570-4837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-05-15 |
| Last Update Date | 2026-05-15 |