NPI | 1801948070 |
---|---|
Entity Type | Organization |
Authorized Contact | ISRAEL CASON Chief Executive Officer 410-466-8833 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 903036) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-25 |