NPI | 1396450508 |
---|---|
Doing Business As | BEACON OF HOPE WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MERCY JOHNSON Clinical Social Worker 410-685-2830 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-01-23 |