| NPI | 1346783339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SIBISKI Iop Counselor 443-760-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC7064) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |