NPI | 1558072256 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN IHUEZE IHEOMA CEO 443-857-9193 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-12-13 |
Last Update Date | 2023-06-06 |