| NPI | 1699420786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MAUER Owner 410-746-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |