| NPI | 1689323669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLINT NWANGUMA CEO 443-613-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2023-05-23 |