| NPI | 1043369994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLISS JOHNSON Director Of Operations 1800-344-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 13087) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |