| NPI | 1134610991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA E. NOBLE CEO 443-219-6682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2021-04-07 |