| NPI | 1871117028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABEL MCCORD CEO 443-651-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |