| NPI | 1548996192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIANOSEN OKOJIE Owner 410-275-0986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-06-06 |