NPI | 1780568659 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG HOWARD LIPPENS Program Administrator 443-835-2681 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-21 |