| NPI | 1255165809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL POGGI Owner 443-464-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-10-24 |