| NPI | 1952097701 |
|---|---|
| Doing Business As | HOLISTIC CHANGE |
| Entity Type | Organization |
| Authorized Contact | JAMES BERNARD SCOTT Owner 443-468-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-05-05 |