| NPI | 1952119760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN YVETTE JOHNSON Owner 443-865-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-30 |