| NPI | 1831713536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARVIN BROWN AO 443-945-8581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |