| NPI | 1689033771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY NWOGWUGWU CEO 443-873-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2385) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA1914) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2024-01-25 |