| NPI | 1477143634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY C FRUHLING Chief Clinical And Admin Officer 410-246-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-12-11 |