| NPI | 1568178937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESIDE OJO Medical Director 443-805-6706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |