| NPI | 1134009822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINWE M OKUDO Medical Director 443-868-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |