| NPI | 1265044788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEADRA MONIQUE MARTIN CEO 410-701-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-10-13 |