| NPI | 1205727120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHAWNDA BURTON CEO 443-517-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |