| NPI | 1255178885 |
|---|---|
| Doing Business As | DAVID'S LOFT CENTER FOR OUTPATIENT SUBSTANCE USE |
| Entity Type | Organization |
| Authorized Contact | DAVID HENRY THOMPSON CEO 410-800-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |