| NPI | 1649737453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GAMBLE Director 410-398-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2021-08-04 |