| NPI | 1336654474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER RILEY Clinical Director 410-255-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 905693) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-15 |