| NPI | 1598485260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE DAVID Owner 443-415-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |