| NPI | 1215649470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIMERE BECOTE Owner 410-805-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |