| NPI | 1144019936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L RISSOLO Director / CEO 410-924-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |