| NPI | 1174209860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORIE D JOHNSON Partner / Founder 443-822-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |