| NPI | 1285203992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT JONES CEO 443-570-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |