NPI | 1851020861 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM MARIE SINGLETON Program Administrator 410-320-9967 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-06-06 |
Last Update Date | 2022-06-06 |