| NPI | 1124697727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIKA DAVENPORT CEO 443-473-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2023-09-06 |