| NPI | 1063072957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LAWRENCE CEO 443-334-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-02-07 |