| NPI | 1801646005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUYIK-ABASI B UMAH Executive Officer 410-814-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |