| NPI | 1831642628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRRETTE BUTLER CEO 443-651-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC1770) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |