| NPI | 1386235729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LANEY BODDIE CEO 443-224-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |