| NPI | 1033826581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MILLER MILLER CEO 410-419-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |