| NPI | 1154964666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST OKONKWO Director Of Operations 443-869-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2021-02-09 |