| NPI | 1578095618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA TRACEY ROBINSON Director Of Operations 443-429-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X (Licence: MD MH-1995) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-04-24 |