| NPI | 1023746146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEION CAISON CEO 443-204-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-16 |