| NPI | 1003484270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINE ANOCHIE Program Director 443-502-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |