| NPI | 1952130072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEARA HAYES Owner 410-885-4558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |