NPI | 1114429370 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH ROGERS Partner 443-440-5780 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-03-05 |
Last Update Date | 2019-05-01 |