| NPI | 1932668506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORTHWEST REGISTERED AGENT SERVICES Registered Agent 443-416-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-12-06 |