| NPI | 1447023270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANAZAR D BEASLEY Owner 443-826-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |