| NPI | 1336751346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA BENEWAAH Owner 410-499-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-01-15 |