| NPI | 1598175192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAJUAN M FORSEY Executive Director 410-744-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2016-10-27 |