| NPI | 1427715408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNENNA DORATHY EZEH CEO 443-379-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2024-02-25 |