| NPI | 1114679776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENEA ROGERS-SAMPSON CEO 443-248-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-05-25 |