| NPI | 1609924877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE HUMKE Program Director 410-414-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA091) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |