| NPI | 1760187728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OLUWASOGO FOWOWE CEO & President 410-612-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-04-11 |