| NPI | 1619407129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL OJO CEO 410-233-1088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-05-31 |