| NPI | 1730066028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISE BURROW CEO 443-653-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 171W00000X Contractor | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-09-19 |