NPI | 1003439431 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LAMB Director Of Administration 410-975-0067 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-05-20 |
Last Update Date | 2024-12-23 |