| NPI | 1528995941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYNISHA KADIRI Owner 443-466-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |