| NPI | 1073029120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NDEGWA General Partner 443-562-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 164W00000X Licensed Practical Nurse | |
| 247000000X Technician, Health Information | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 333600000X Pharmacy | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |