| NPI | 1396464517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BOBBITT CEO 443-629-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-07-27 |