| NPI | 1073407375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY TANYI CEO 301-979-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-10 |