| NPI | 1962926766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CHRISTINEBRENNAN WEAVER Owner 410-205-9782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MD LC7221) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-05-23 |