| NPI | 1003598913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET T T OWOLABI Director 443-825-2955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-12-30 |