| NPI | 1871067603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE SINGLETON Owner/Clinical Director 410-320-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |