| NPI | 1578233870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE CAUTHORNE Owner 443-629-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2022-09-16 |