| NPI | 1952067407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROGERS Partner 443-214-5097 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |