| NPI | 1598267072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJIE ALATISE CEO 410-444-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |