NPI | 1780139998 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANINE MARIE GINI Administrator 443-600-3054 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2016-08-17 |
Last Update Date | 2016-08-17 |