| NPI | 1407634140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE MATTHEWS Owner 410-215-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |