| NPI | 1508197120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAN-FANG TAYLOR Director A/R Operations 410-933-2063 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |