| NPI | 1417726837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA MILBOURNE Owner/ Clinical Director 410-831-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-07-22 |