| NPI | 1750816427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE GARTLITZ Clinic Director 410-341-3420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-1182) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-09-25 |