| NPI | 1508217449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MCCOY Clinical Director 410-766-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 906103) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-07-19 |