| NPI | 1710639042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAMS CEO 443-386-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-12-13 |