| NPI | 1639893456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE FOOTE Clinical Director 443-962-3592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-10-01 |