| NPI | 1124710561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L KUEHNE Director Of Programs 410-961-1866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-12-11 |