| NPI | 1942883699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNOCENT AKPUAKA The President 410-984-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |