| NPI | 1669141578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BUTLER Owner 410-804-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |