NPI | 1053156166 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA YVETTE JACKSON Surrogate 443-418-4254 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-06-28 |