| NPI | 1710794680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MEWMAW Director 410-357-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2024-12-14 |