| NPI | 1801257951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARTIN DIGGS Social Worker 443-627-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |