| NPI | 1619747201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELITA ANANE CEO 443-442-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-01-03 |