| NPI | 1851961171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MOSES President 410-292-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-08-12 |