NPI | 1023741717 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE LIVELY Chief Operating Officer 443-878-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-07-08 |
Last Update Date | 2023-02-10 |