| NPI | 1255808457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BETH HURD Office Manager 410-269-5605 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |