| NPI | 1750846465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEADRA MONIQUE MARTIN CEO 443-500-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |