| NPI | 1699524504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA TUNCTSON-JOHNSON General Dir 443-470-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |