| NPI | 1073179289 |
|---|---|
| Doing Business As | AHAVAH TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID NDEGWA CFO 410-710-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-14 |