| NPI | 1962181362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL JOHNSON Owner/Executive Director 443-271-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |