| NPI | 1992486732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA HAYES CEO 443-539-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |