| NPI | 1922787720 |
|---|---|
| Other Name | ACTIVE MINDZ THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLES WILSON Clinical Therapist 410-967-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-01-18 |