| NPI | 1689339723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN DICKENS Chief Executive Officer 410-527-1972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |