| NPI | 1740954585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAFEMI SHODIPE CEO 410-615-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |