| NPI | 1376362202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L KUEHNE Director Of Programs 410-961-1866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |