NPI | 1699928994 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM WIREMAN President/CEO 443-610-1455 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 21771) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2008-10-30 |
Last Update Date | 2024-08-12 |