NPI | 1982275970 |
---|---|
Entity Type | Organization |
Authorized Contact | REMI MOMODU CEO 410-908-1113 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-07-09 |
Last Update Date | 2021-09-13 |