| NPI | 1114606977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA MCCASKILL CEO 443-910-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-01-03 |