| NPI | 1194192203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALLEN STAFFORD Executive Director 410-266-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YS0200X Counselor School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |