| NPI | 1134539208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROGERS Partner 443-440-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2023-04-12 |