| NPI | 1801442249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOWUMI OLUMAYOWA OLAWALE Program Manager/Owner 410-718-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center Community Health | |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-09-08 |