| NPI | 1003609603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TANYI TANG AYUK CFO 443-221-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |