| NPI | 1851509103 |
|---|---|
| Other Name | RIDGE 103 OMHC |
| Entity Type | Organization |
| Authorized Contact | ORLANDO ROSS DAVIS Medical Director 410-373-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |