NPI | 1639881782 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGHAN ELIZABETH BOWER Owner 443-683-0069 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-12-20 |
Last Update Date | 2022-12-20 |