NPI | 1063188753 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY OGUNLOWO-OMOBHUDE President/Medical Director 410-595-6199 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-08-21 |
Last Update Date | 2021-08-21 |