| NPI | 1952164923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL HARP-WITHERSPOON Owner 410-776-8639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult | |
| 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-20 |