NPI | 1760133078 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE GERMAINE Owner 443-745-9540 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-01-18 |