| 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 |