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 |