| NPI | 1427675271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON ROWLETT Owner 410-984-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2020-06-27 |