| NPI | 1679142657 |
|---|---|
| Doing Business As | INSPIRING CHANGE COMMUNITY OUTREACH CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAQUANNA FOSTER-DOTSON Social Worker 410-258-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2022-10-04 |