NPI | 1447004601 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN HERRON COO 410-227-9426 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2024-04-15 |
Last Update Date | 2024-04-15 |