| NPI | 1750042362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD COO 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-12-01 |