| NPI | 1184248353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA MCMORRIS Owner 443-250-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-11-30 |