| NPI | 1447083829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GRIMM Owner 443-453-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |