| NPI | 1962264481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNKE FLORENCE AKINWUMIJU-KALEJAIYE CEO 443-518-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-05-02 |