| NPI | 1962126979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEELA MITCHELL Nurse Practitioner 410-401-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-11-04 |