| NPI | 1275148975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA M MCCRAY Executive Director 443-438-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-04-30 |