| NPI | 1225708720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI WILKINSON CEO 443-418-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |