| NPI | 1174162655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH H MITCHELL Owner 410-788-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2021-06-15 |