| NPI | 1134841216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE NICHOLE PRESTON CEO 443-413-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-07-12 |