| NPI | 1750005187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA O EPEY 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 | 2025-05-26 |