| NPI | 1992325302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE SHAMIS Owner 410-978-2317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2023-08-21 |