| NPI | 1154728087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D DONOVAN President 410-740-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2021-10-28 |