| NPI | 1720627581 |
|---|---|
| Other Name | COMMUNITY PSYCHIATRY PROGRAM- CHILD MOBILE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | RICHARD BENNETT President 410-550-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |