| NPI | 1174288112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LITRA SIMMS CEO 410-903-8710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |