| NPI | 1376361972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUOCHI IWEALA CEO 410-205-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2026-02-23 |