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 |