| NPI | 1962028076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANRELE OLADIPO FADIORA CFO 443-865-7549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |