| 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 |