| NPI | 1659056893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNY IMOUDU EDWARDS-SALIU Program Director & CEO 443-869-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-07-05 |