NPI | 1124693148 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA WILSON Executive Director 443-885-9406 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2021-05-21 |