| NPI | 1922460187 |
|---|---|
| Doing Business As | DYNAMIC LIFE RECOVERY CENTERS |
| Entity Type | Organization |
| Authorized Contact | PATRICIA RYDING Director Of Operations 443-944-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-28 |