| NPI | 1760051056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBELECHUKWU ELOCHUKWU Chairman/Executive Director 443-764-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-07-10 |