| NPI | 1497135198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER COLLINS Executive Director 410-548-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2022-09-12 |