| NPI | 1811377500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN M. SILVER President, CEO 410-952-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC2343) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA196) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |