| NPI | 1265253850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIARA HEARD Owner 443-739-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |