| NPI | 1932818713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALISA PARTEE Managing Member 443-648-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |