| NPI | 1730864844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARENA ROBERTS Chief Executive Officer 443-300-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-10-13 |