| NPI | 1245921261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE MITCHELL Owner 443-815-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |