| NPI | 1659520476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WU Director Of Special Projects 410-241-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2022-12-07 |