| NPI | 1497381263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA HAWKES Executive Director 410-298-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |