NPI | 1639850316 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE BLACKSTON Director 410-517-7060 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2023-07-26 |