| NPI | 1679230734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEYA HAWKINS Msw 443-248-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2023-08-22 |