| NPI | 1174994768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN R BARTLEY Director 443-547-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |