| NPI | 1972124568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA CONWAY CEO 443-607-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |