NPI | 1285826578 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD STUART GROSSMAN President 410-571-6226 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC0787) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD SC0379) |
101YM0800X Counselor, Mental Health (Licence: MD LCA256) | |
101YM0800X Counselor, Mental Health (Licence: MD 10954) | |
101YM0800X Counselor, Mental Health (Licence: MD LC1233) | |
101YM0800X Counselor, Mental Health (Licence: MD BJ8336845) | |
101YM0800X Counselor, Mental Health (Licence: MD DO050605) | |
Enumeration Date | 2007-08-10 |
Last Update Date | 2007-08-10 |