| 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 |