| NPI | 1780971630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL BALANDA Vice President 443-442-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-07-21 |