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 |