| NPI | 1912356684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY K BURKHARD Esps Billing Supervisor & Credentia 410-334-6961 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-09-20 |