| NPI | 1548107584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SHORB Executive Director 410-259-4873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-04-29 |