| NPI | 1497021927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK BATTLE COO 443-996-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |