| NPI | 1548794167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA BROWN Executive Director 410-537-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18738) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA256) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |