| NPI | 1073383832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBELE OLI CEO 443-272-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-22 |