| NPI | 1346099603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HERRON COO 410-227-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |