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 |