| NPI | 1871063685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PRELL President 410-982-8364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2025-01-02 |