| NPI | 1760132484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA CONAWAY CEO 410-961-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |