| NPI | 1194354522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENO GODFREY President 443-636-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-11-19 |