| NPI | 1962037291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL TAYLOR Executive Director 443-838-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2021-05-20 |