| NPI | 1457913741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA KEITA DENEEN CARTER Owner/CEO 410-864-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2020-03-11 |