| NPI | 1619776911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE SOLOMON Co Owner 443-863-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-04-03 |