| NPI | 1083186928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L PLEAZE Owner/CEO 443-442-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2024-04-22 |