| NPI | 1831566884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE L GARNETT Owner 410-294-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD LC6429) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |