| NPI | 1699435420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA COATES Registered Nurse 443-799-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-05-12 |