| NPI | 1639633043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI JOHNSON Owner/President 443-858-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-04-06 |