| NPI | 1003691460 |
|---|---|
| Other Name | PSYCHIATRIC REHABILITATION PROGRAM MINORS |
| Entity Type | Organization |
| Authorized Contact | SHONTEL GREENE CEO 443-847-3749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |