| NPI | 1841704533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMEIN WATSON CEO 443-219-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2023-10-04 |