| NPI | 1245993427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN JOSEPH BECK CEO 443-621-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |