| NPI | 1740652304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG WARREN Regional Director 410-367-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |