| NPI | 1376305870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFTAAN WHITE Executive Director 443-898-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 172V00000X Community Health Worker | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |