| NPI | 1508464587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENICE SHABAZZ CEO 410-908-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-06-07 |