| NPI | 1093233801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE HARRIS Owner 410-624-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2024-01-30 |