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 |