| NPI | 1194384289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN SAEED Owner 410-599-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |