| NPI | 1710678842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBELECHUKWU ELOCHUKWU Executive Director 443-764-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |