NPI | 1699130773 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY BLACKSTOCK CEO 443-440-7018 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |