| NPI | 1164883344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA WHITE Executive Director 443-708-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 261QR0405X) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2023-10-19 |