| NPI | 1922712967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE SHEDRICK CEO 443-509-2159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |