| NPI | 1821656901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSEGUN ADEWALE SOFOWOTE Executive Director 443-272-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |