| NPI | 1700402740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE EDWARDS Director 443-934-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 251B00000X Case Management | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |