| NPI | 1952442238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. CARPENTER Program Director 410-819-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 903058) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 903406) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-04-24 |