| NPI | 1073118121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROGERS Partner 443-214-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |