| NPI | 1356219109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA NELSON Owner 410-499-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |