| NPI | 1700283652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROTTIER CFO 410-740-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2020-04-22 |