| NPI | 1083494025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE LORETTA BURNITE Officer 443-221-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |