| NPI | 1700518164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON EMEJURU Owner 410-450-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2022-08-22 |