| NPI | 1801612528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIZZY PITTRELL CEO 443-868-7762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |