| NPI | 1205115508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER COLLINS Executive Director 410-548-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 904229) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MD 904229) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-03-06 |