| NPI | 1104648930 |
|---|---|
| Doing Business As | MAGNOLIA BEHAVIOR HEALTH CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JULIA SHIRIMA CEO 301-473-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347D00000X Train |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |