| 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 |