| NPI | 1255273272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA S LOGAN Social Worker 443-416-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-04-08 |