NPI | 1245904168 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA WILSON Executive Director 443-885-9406 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-08-04 |
Last Update Date | 2021-08-04 |