| NPI | 1053883066 |
|---|---|
| Doing Business As | MI CASA ES SU CASA INC |
| Entity Type | Organization |
| Authorized Contact | CARLTON TYRONE CARRINGTON Executive Director 443-708-8381 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |