| NPI | 1902329048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE MONIQUE HITCHENS Owner 443-945-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 11558) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |