| NPI | 1780898122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P NEWNAN Director 410-838-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA191) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |