| NPI | 1942557152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC LEMAR TUCKER President/CEO 410-467-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD lc4081) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD lc4081) |
| 101YM0800X Counselor, Mental Health (Licence: MD lc4081) | |
| 101YP2500X Counselor, Professional (Licence: MD lc4081) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |