NPI | 1649805078 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFINIE CARROLL Executive Director 410-363-3713 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-03-05 |
Last Update Date | 2020-03-05 |