| 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 Community/Behavioral Health | |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |