| NPI | 1649931510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HILLEARY Practice Owner 443-791-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |