| NPI | 1992459051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS GABRIEL CEO 443-985-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |