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 | |
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 |