| NPI | 1316578917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKEYA HUTTON Owner 443-559-8354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2025-07-25 |