| NPI | 1043630791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORIE BRYANT CEO 240-319-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |