NPI | 1710603402 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY BUNCH CEO 443-580-9346 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2022-10-14 |
Last Update Date | 2022-10-14 |