| NPI | 1225887557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKWA GREMBOWSKI CEO 443-506-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-10-23 |