| NPI | 1699250126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA VASELL President 443-453-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |