| NPI | 1861267585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELIZABETH PAUL Owner 443-734-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |