| NPI | 1619448008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES KING Executive Director 443-473-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |