| NPI | 1194676221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE KENNARD Sole Member 443-909-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2026-02-05 |
| Last Update Date | 2026-02-09 |