| NPI | 1386165637 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LELA CAMPBELL Executive Director 410-462-6001  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LC5896)  | 
| Enumeration Date | 2017-06-27 | 
| Last Update Date | 2022-07-21 |