| NPI | 1194990770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DUKES Owner 443-831-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 102166) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2022-06-20 |