| NPI | 1629548862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN ROBBS Clinical Director 410-575-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2019-01-16 |