| NPI | 1124692439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HERRON Vice President Of Operations 410-227-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-09-06 |