| NPI | 1447003744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JAMES OBUA Owner Operator 410-622-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |