| NPI | 1679180327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DANELLE MYERS CEO 443-402-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-07-14 |