NPI | 1902673437 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCY NGEUSANG Provider 443-848-9123 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-12-05 |
Last Update Date | 2024-03-13 |