| NPI | 1912459017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROGERS Partner 443-440-5780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17401) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2022-06-21 |