NPI | 1861272130 |
---|---|
Entity Type | Organization |
Authorized Contact | KATE SHAMIS Owner 443-774-8994 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-10-03 |
Last Update Date | 2023-10-17 |