| NPI | 1679927917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUANNE BLUMBERG CEO 410-996-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 100739) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2021-07-14 |