NPI | 1407634140 |
---|---|
Doing Business As | KING'S RECOVERY LLC |
Entity Type | Organization |
Authorized Contact | ANDRE MATTHEWS Owner 410-215-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-09-14 |
Last Update Date | 2025-06-24 |