| NPI | 1003509738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CAMPBELL CFO 443-530-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 283Q00000X Psychiatric Hospital | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2025-11-14 |