| NPI | 1669215919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINE ANOCHIE Program Director 443-502-5880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-18 |