| NPI | 1023161239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C ZIMMERMAN Administrator 410-569-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 13329) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |