| NPI | 1124000971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ELIZABETH LILLY Director Owner 410-893-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD 1086) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-06-17 |