| NPI | 1376086496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MCLAURIN Executive Director 443-617-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC6685) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |