| NPI | 1700598877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY TANSINDA CEO 443-501-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-03-13 |