| NPI | 1194371286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNNA THOMAS CEO 443-402-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2025-04-01 |