| NPI | 1396338448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI POWELL Director Of Operations 443-701-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-03-11 |