NPI | 1497365654 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAQUANNA FOSTER-DOTSON President/ Founder 410-258-6714 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
261QR0800X Clinic/Center, Recovery Care | |
Enumeration Date | 2020-08-03 |
Last Update Date | 2021-08-02 |