| NPI | 1760031397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LANEY BODDIE CEO 443-224-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-01-02 |