| NPI | 1295519452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE SHAMIS Owner 443-774-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |