| NPI | 1366042590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE LIVERPOOL Owner 443-710-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-10-01 |