| NPI | 1730995564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGNUS OKWUDILI EZEANI Owner 443-531-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |