| NPI | 1760107437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE SHEDRICK CEO 443-438-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 251S00000X | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |