| NPI | 1649951955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA ASHLEY RAQUEL BALTIMORE CEO 443-202-1377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |