| NPI | 1841048766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBENGA WILLIAMS Administrator 410-521-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-07-23 |