NPI | 1932874401 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH D JONES CEO Director 443-832-3922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-08-16 |
Last Update Date | 2022-12-19 |