| NPI | 1952560989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B. FINEGAN Executive Director 410-860-2673 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |