| NPI | 1659113488 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARINDA WILLIAMS Owner 443-523-9136  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Enumeration Date | 2024-06-11 | 
| Last Update Date | 2024-06-11 |