| NPI | 1639385677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN HYDER Executive Director 410-635-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC0911) |
| 101YP1600X Counselor, Pastoral (Licence: MD LC0911) | |
| 101YP2500X Counselor, Professional (Licence: MD LC0911) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |