| NPI | 1366156515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM POGGI CEO 410-599-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |