| NPI | 1699133538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY TATANI CEO 410-766-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2026-06-30 |