| NPI | 1851039804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE REID Owner 443-226-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |