| NPI | 1891508016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH W NGUYEN Owner 410-693-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |