| NPI | 1750962452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MOSES President 410-292-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-08-12 |