| NPI | 1669362653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORINE AKWEN NGANG Owner 443-538-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-09-26 |