| NPI | 1790208718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANNA MONIQUE MILLER-JOHNSON Chief Executive Officer 443-415-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2023-10-31 |