| NPI | 1841702321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAMU A BARAKA President/Chief, Clinical Officer 410-622-2908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |