| NPI | 1194796615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURIEL V. BROTHERS Program Administrator 410-727-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 316811) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-03-19 |