| NPI | 1184516494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUISA NASH CEO 443-593-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2026-02-09 |