| NPI | 1972314953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA BENEWAAH CEO 410-499-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |