NPI | 1144838277 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTOINETTE EDWARDS Director 443-934-7369 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
251S00000X | |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |