NPI | 1780174359 |
---|---|
Doing Business As | BEHAVIORAL HEALTH CLINIC (BHC) |
Entity Type | Organization |
Authorized Contact | LONETTA MASON Qa/Pi Consultant 410-500-1310 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD BH000831) |
Enumeration Date | 2018-05-18 |
Last Update Date | 2018-06-16 |