| NPI | 1144913625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHINELLE OGLESBY CEO/Clinical Director 410-844-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-10-12 |