| NPI | 1770150377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL HILLERY CEO 443-825-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |