| 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 |