| NPI | 1124591680 |
|---|---|
| Doing Business As | JHH BROADWAY CENTER FOR ADDICTION WILSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | REDONDA MILLER President 410-955-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-03-11 |