| NPI | 1154037406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE B FOOTE Clinical Director 443-359-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2026-04-15 |