| NPI | 1841057536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLYN CLARKE CEO/Founder 410-800-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |