| NPI | 1841989969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HERRON COO 410-227-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |