NPI | 1063301471 |
---|---|
Entity Type | Organization |
Authorized Contact | NICKIA WILLIAMS CEO 443-286-9535 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-07-01 |
Last Update Date | 2025-07-01 |