| NPI | 1801554787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN C FULTON Owner 410-585-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-04-01 |