| NPI | 1639701956 |
|---|---|
| Other Name | CHILD SATELLITE MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAMELA TARRIS OWENS Chief Compliance Officer 410-955-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |