| NPI | 1447826771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTEANA VICTORIA CARTER Program Director 410-864-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-01-10 |