NPI | 1104257906 |
---|---|
Entity Type | Organization |
Authorized Contact | EILEEN M. DEWEY Owner/Director 410-730-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 904392) |
Enumeration Date | 2013-12-03 |
Last Update Date | 2013-12-03 |