| NPI | 1902409725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUN OLADUNNI CEO 410-296-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-04-28 |