| NPI | 1710042924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DAVIS Executive Director 443-244-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 12225) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-02-15 |