| NPI | 1417681800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHNEEN KEATZ Owner 410-215-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2023-12-05 |