NPI | 1942066493 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN IHUEZE IHEOMA CEO 443-857-9193 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-02-22 |
Last Update Date | 2024-02-22 |