| NPI | 1588926216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GRANRUTH Owner 410-534-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2019-04-14 |