| NPI | 1659789154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY MARY MCCALL Owner/Administrator 410-777-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |