| NPI | 1003176009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B FREEDMAN Owner 410-790-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11208) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 11208) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |