NPI | 1336599257 |
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Doing Business As | MICHELE'S HAVEN, CDC, INC. |
Entity Type | Organization |
Authorized Contact | MICHELE GILMER Chief Executive Officer 443-858-1002 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2016-06-21 |