| NPI | 1093413338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTA MONIQUE BOOKER CEO 443-562-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 225C00000X Rehabilitation Counselor | |
| 251S00000X Community/Behavioral Health | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-03-09 |