NPI | 1306582184 |
---|---|
Entity Type | Organization |
Authorized Contact | OSE OKOJIE Owner 443-629-2435 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-05-05 |
Last Update Date | 2022-05-05 |