| NPI | 1821770553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DUNMORE Owner 410-615-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-09-05 |