| NPI | 1710429188 |
|---|---|
| Doing Business As | THE CHILD AND TEEN WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL J LEVY President 410-363-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2017-02-08 |