| NPI | 1992679419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE OCHOA CFO 410-269-1883 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-10-21 |