| NPI | 1942955711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE C DUBOSE CEO 443-858-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-09-29 |