| NPI | 1912478900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PARKER CEO 410-440-0317 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |