| NPI | 1477421246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC X CLIFTON President 410-831-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-28 |