| NPI | 1083479919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE GONZALEZ-GRAHAM Director 443-202-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |