NPI | 1720762016 |
---|---|
Entity Type | Organization |
Authorized Contact | DESIREE MOUNTAIN Director Of Compliance 443-204-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-15 |