| NPI | 1659233971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUTRESA LANKFORD Owner 410-202-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |