| NPI | 1831953660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH DUANTE DUCKETT CEO 443-942-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |