| NPI | 1104572692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LEGETTE Director 443-916-0567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |