| NPI | 1467928465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY L LOWRY Billing 443-433-5929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2025-10-13 |