| NPI | 1386376861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LABAKE OGUNNUPE President 443-355-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |