| NPI | 1235786609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FIELDS CEO/Program Director 410-497-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |