NPI | 1639231541 |
---|---|
Other Name | COMMUNITY PSYCHIATRY - OFF SITE SERVICES |
Entity Type | Organization |
Authorized Contact | JENNIFER NICKOLES President 410-955-6552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 30005) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 30005) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2025-07-11 |