NPI | 1144712217 |
---|---|
Entity Type | Organization |
Authorized Contact | OSE KINGSLEY OKOJIE President 410-282-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-06-04 |
Last Update Date | 2022-09-13 |