| NPI | 1255985305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITU BHAMBHANI Owner Member 443-857-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |