| NPI | 1619681996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW HARPER Co CEO/ Director 443-220-6512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |