| NPI | 1174262604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DAVIS CEO 443-525-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-29 |