| NPI | 1124856216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANTOINETTE DIGGINS Owner/COO 443-602-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-09-25 |