NPI | 1538817986 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA PETERSON Billing Manager 443-440-5782 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-03-15 |
Last Update Date | 2023-10-13 |