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 Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |