| NPI | 1508795907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAIRA RAY Owner 443-800-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-05-14 |