| NPI | 1871996777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL JOHNSON Director 443-540-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |