| NPI | 1790559136 |
|---|---|
| Doing Business As | BORNFREE WELLNESS CENTERS OF AMERICA LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT I GALAHER Program Sponsor 410-991-5687 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-04-27 |