| NPI | 1578197752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONETTA MASON CEO/COO 443-285-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2021-03-15 |