| NPI | 1891594628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR LISA WILSON CEO 443-779-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-06-09 |