| NPI | 1720796725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARYAH L MILES CEO 410-449-0086 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-02-01 |