| NPI | 1730057597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA NELSON Owner 410-499-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |