NPI | 1912542473 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN JOHNSON Executive Director 443-944-1118 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251B00000X Case Management | |
251S00000X | |
Enumeration Date | 2019-11-08 |
Last Update Date | 2019-11-08 |