| NPI | 1700138864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L MITCH Executive Director 410-768-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC1534) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |