| NPI | 1104505809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAR JOHNSON BEY Owner/CEO 443-472-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-04-01 |