| NPI | 1902505266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELESHIA THOMAS CEO/Owner 443-865-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |