| NPI | 1801191630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HEITT President 410-580-9047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 3448) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |