| NPI | 1548970536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMIDAYO A OGUNDIRAN CEO 443-558-6938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |