| NPI | 1669186508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE OJUKWU Administrator 410-978-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2025-09-11 |