| NPI | 1558253153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELECHI AGUGUO CEO 443-791-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-18 |