NPI | 1821748849 |
---|---|
Entity Type | Organization |
Authorized Contact | DESIREE N MOUNTAIN Compliance Officer 443-204-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-03-24 |
Last Update Date | 2022-03-24 |