| NPI | 1053925545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANDA CARTER Program Director 443-826-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |