| NPI | 1972256824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNNE MORAN KREPP Owner 410-205-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-03-01 |