| NPI | 1407549645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRIL M SCOVENS Owner 443-835-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |