| NPI | 1831425792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES IKUSIKA Director 443-522-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-10-17 |