| NPI | 1891534368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANG M GEH CEO 443-610-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-08-14 |