| NPI | 1801543905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BRADLEY-POFF Owner 410-562-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-11-14 |