| NPI | 1811521347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LAMB Director Of Administration 410-975-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2021-10-28 |