| NPI | 1659159358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY FRUHLING COO 410-707-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |