| NPI | 1679188072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN KUMOLALO C RN P 443-631-4318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |