| NPI | 1700627254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GLAZER Medical Biller 443-352-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |