| NPI | 1457186439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA CONAWAY CEO 410-961-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-09-07 |