| NPI | 1053083451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CRAWFORD Clinical Director 410-645-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |