| NPI | 1902771264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKWA GREMBOWSKI Owner 443-506-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |