| NPI | 1073282364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARNEY JAMES RICHARDSON CEO 443-992-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-02-07 |