| NPI | 1386357754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTRICE SLOANE Executive Director 443-970-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-09-18 |