| NPI | 1083286280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT MESFIN CEO 443-708-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |