| NPI | 1891039673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASNEITH D MAYBERRY Certified Asso Alcohol&Drug Counsel 301-306-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC1766) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |