| NPI | 1356030381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCKIVER CEO 410-805-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-07-11 |