| NPI | 1093479677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA VASSELL CEO 443-453-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-11-02 |