| NPI | 1902478373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONISHA TOOMER Executive Director 443-278-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-08-02 |