| NPI | 1245944107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA VAUGHN GIVENS Executive Director 410-441-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |