| NPI | 1679860381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DAVIS Executive Director 443-244-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 904243) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-02-15 |