| NPI | 1194544015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENOBIA EDISON CEO 443-570-0421 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |