| NPI | 1730974684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYIA GODLOCK-KEMP Owner 410-617-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |