| NPI | 1043617970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROTTIER CFO 443-917-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2022-07-26 |