NPI | 1750005187 |
---|---|
Entity Type | Organization |
Authorized Contact | STELLA O EPEY Owner/CEO 410-265-0023 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2022-09-29 |
Last Update Date | 2023-04-25 |