| NPI | 1184249922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTEANA V CARTER Program Director 410-864-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-01-31 |