| NPI | 1679140701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN CHADWICK Owner 410-793-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-01-10 |