| NPI | 1821598616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRAN TAVON LEE Chief Executive Officer 443-602-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2018-08-08 |