| NPI | 1902482391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE FEILD Administrator 443-600-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |