| NPI | 1619694239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYKIA EDWARDS Clinical Director 443-633-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |