| NPI | 1801415294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WILSON Chief Executive Officer 443-984-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2021-12-17 |