| NPI | 1215795984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA JOHNSON CEO 443-652-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-05-31 |