| NPI | 1659071454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY C FRUHLING Chief Operating Officer/Exec Clinic 410-707-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |