| NPI | 1710574181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BUTLER CEO 410-804-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-02-24 |