| NPI | 1518584143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MCDONALD Director Of Revenue Cycle 443-365-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-07-31 |