NPI | 1740871870 |
---|---|
Doing Business As | ONE PROMISE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | CRAIG LIPPENS Program Administrator 443-835-2681 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2021-02-01 |
Last Update Date | 2022-09-01 |