| NPI | 1932693611 | 
|---|---|
| Doing Business As | AWAY OF CHANGE COUNSELING SERVICE | 
| Entity Type | Organization | 
| Authorized Contact | DORIS ALLEN Founder And CEO 443-405-3193  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA2042)  | 
| Enumeration Date | 2018-06-18 | 
| Last Update Date | 2021-03-18 |