| NPI | 1760902563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE GIVENS CEO 443-579-4659 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |