| NPI | 1821512468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA JOSIAH Therapist 443-927-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC PRC14922) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |