| NPI | 1134971286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIERA WILLIAMS Chief Operating Officer 443-903-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-12-23 |